Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alan Gray, CPNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1194209981

Alan Gray, CPNP-AC is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2018, 8 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X · Licence 902933 (MS)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 902933 (MS)

Record details

NPI number1194209981
Entity typeIndividual (Type 1)
GenderMale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESSeptember 18, 2018
Mailing address1354 Kimwood Dr, Jackson, MS 39211-5913

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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